| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99285 |
|
7,638 |
7,173 |
$2.31M |
| 99283 |
|
15,942 |
15,151 |
$1.93M |
| 99284 |
|
9,395 |
8,974 |
$1.73M |
| 96374 |
|
9,481 |
8,643 |
$886K |
| 74177 |
|
3,591 |
3,446 |
$509K |
| 99282 |
|
6,197 |
6,049 |
$441K |
| 96365 |
|
4,017 |
3,382 |
$349K |
| 96375 |
|
9,365 |
7,772 |
$300K |
| G0463 |
Hospital outpt clinic visit |
4,962 |
4,349 |
$276K |
| 97110 |
|
15,886 |
4,664 |
$273K |
| 97530 |
|
12,478 |
4,613 |
$259K |
| 96361 |
|
7,772 |
6,674 |
$246K |
| 70450 |
|
2,755 |
2,675 |
$243K |
| 71045 |
|
6,353 |
6,000 |
$236K |
| 97140 |
|
15,552 |
4,469 |
$188K |
| 93306 |
|
889 |
886 |
$184K |
| 59025 |
|
2,113 |
1,210 |
$181K |
| 96360 |
|
1,775 |
1,666 |
$174K |
| 71046 |
|
4,303 |
4,153 |
$155K |
| 74176 |
|
1,234 |
1,198 |
$131K |
| 87636 |
|
1,646 |
1,608 |
$120K |
| U0003 |
Cov-19 amp prb hgh thruput |
3,015 |
2,951 |
$118K |
| 80061 |
|
8,069 |
7,975 |
$113K |
| G0378 |
Hospital observation per hr |
623 |
597 |
$103K |
| 76801 |
|
1,693 |
1,496 |
$100K |
| 76705 |
|
1,709 |
1,679 |
$96K |
| 86900 |
|
4,183 |
3,972 |
$95K |
| 87591 |
|
5,526 |
5,386 |
$90K |
| 87491 |
|
5,404 |
5,323 |
$88K |
| 76830 |
|
1,455 |
1,418 |
$85K |
| 97112 |
|
5,246 |
1,875 |
$81K |
| 71260 |
|
941 |
921 |
$81K |
| 77067 |
|
1,740 |
1,721 |
$80K |
| G0145 |
Scr c/v cyto,thinlayer,rescr |
4,945 |
4,935 |
$73K |
| 80053 |
|
27,027 |
24,465 |
$67K |
| 73564 |
|
1,982 |
1,960 |
$63K |
| 97162 |
|
1,255 |
1,240 |
$61K |
| 84443 |
|
11,386 |
11,008 |
$61K |
| 76805 |
|
963 |
961 |
$58K |
| 85025 |
|
38,085 |
32,729 |
$58K |
| 80307 |
|
5,599 |
4,938 |
$56K |
| 87637 |
|
630 |
617 |
$49K |
| U0002 |
Covid-19 lab test non-cdc |
2,033 |
1,931 |
$43K |
| 82306 |
|
3,450 |
3,396 |
$41K |
| 70553 |
|
205 |
203 |
$39K |
| 96366 |
|
1,164 |
899 |
$36K |
| 73610 |
|
1,926 |
1,714 |
$36K |
| 73030 |
|
1,822 |
1,724 |
$35K |
| 87804 |
|
7,935 |
3,919 |
$33K |
| 36415 |
|
25,750 |
21,626 |
$33K |
| 97161 |
|
689 |
681 |
$29K |
| 87880 |
|
4,562 |
4,460 |
$28K |
| 71275 |
|
313 |
304 |
$27K |
| 87651 |
|
2,584 |
2,530 |
$27K |
| 73630 |
|
1,869 |
1,747 |
$27K |
| 73130 |
|
1,820 |
1,681 |
$27K |
| 93005 |
|
9,422 |
8,090 |
$26K |
| 87389 |
|
2,601 |
2,578 |
$25K |
| 83036 |
|
5,905 |
5,827 |
$23K |
| 74018 |
|
948 |
862 |
$22K |
| 73110 |
|
1,166 |
1,039 |
$20K |
| 87624 |
|
1,181 |
1,178 |
$20K |
| U0005 |
Infec agen detec ampli probe |
1,591 |
1,566 |
$20K |
| 87086 |
|
6,875 |
6,518 |
$18K |
| 72148 |
|
205 |
198 |
$18K |
| 96413 |
|
102 |
64 |
$16K |
| 86780 |
|
2,367 |
1,804 |
$15K |
| 78452 |
|
51 |
51 |
$15K |
| 96372 |
|
4,456 |
3,912 |
$15K |
| G0472 |
Hep c screen high risk/other |
660 |
649 |
$14K |
| 82607 |
|
2,265 |
2,232 |
$14K |
| 81025 |
|
9,573 |
8,934 |
$13K |
| 88305 |
|
2,126 |
1,988 |
$13K |
| 84439 |
|
3,414 |
3,315 |
$13K |
| 80048 |
|
12,608 |
10,987 |
$12K |
| 82728 |
|
2,025 |
1,955 |
$11K |
| 72110 |
|
443 |
440 |
$11K |
| M0243 |
Casirivi and imdevi inj |
37 |
37 |
$10K |
| 86803 |
|
1,717 |
1,707 |
$10K |
| 72125 |
|
866 |
844 |
$8K |
| 85027 |
|
4,071 |
3,826 |
$8K |
| 87653 |
|
469 |
468 |
$8K |
| 87635 |
|
303 |
296 |
$8K |
| 45378 |
|
25 |
24 |
$8K |
| G0103 |
Psa screening |
865 |
856 |
$7K |
| 71271 |
|
138 |
138 |
$7K |
| 84702 |
|
1,713 |
1,171 |
$7K |
| 86762 |
|
1,243 |
1,237 |
$7K |
| 87340 |
|
1,779 |
1,770 |
$7K |
| 73502 |
|
413 |
407 |
$7K |
| 86787 |
|
1,273 |
1,234 |
$7K |
| 81001 |
|
18,063 |
16,294 |
$7K |
| 87150 |
|
486 |
479 |
$7K |
| 87186 |
|
2,709 |
2,627 |
$7K |
| 87077 |
|
2,781 |
2,432 |
$6K |
| 43239 |
|
18 |
18 |
$6K |
| 87081 |
|
2,569 |
2,505 |
$6K |
| 93971 |
|
99 |
97 |
$6K |
| 94726 |
|
174 |
170 |
$5K |
| 82746 |
|
874 |
862 |
$5K |
| 83550 |
|
1,489 |
1,431 |
$5K |
| 77063 |
|
458 |
458 |
$5K |
| 83735 |
|
8,365 |
7,105 |
$5K |
| 87661 |
|
311 |
308 |
$5K |
| 83540 |
|
1,925 |
1,843 |
$5K |
| 76642 |
|
116 |
115 |
$5K |
| M0247 |
Sotrovimab infusion |
18 |
18 |
$5K |
| 96376 |
|
2,894 |
2,136 |
$5K |
| 94060 |
|
38 |
37 |
$5K |
| 85610 |
|
8,020 |
6,680 |
$5K |
| 81002 |
|
2,992 |
2,908 |
$4K |
| 86850 |
|
3,910 |
3,733 |
$4K |
| 87502 |
|
197 |
191 |
$4K |
| 82570 |
|
1,908 |
1,836 |
$4K |
| 87426 |
|
202 |
202 |
$4K |
| 74022 |
|
673 |
651 |
$4K |
| 93017 |
|
189 |
189 |
$4K |
| 83880 |
|
1,347 |
1,223 |
$4K |
| 86140 |
|
3,194 |
2,780 |
$3K |
| C9399 |
Unclassified drugs or biolog |
123 |
120 |
$3K |
| 96367 |
|
116 |
103 |
$3K |
| 82043 |
|
1,373 |
1,361 |
$3K |
| 90471 |
|
323 |
296 |
$3K |
| 73721 |
|
25 |
25 |
$3K |
| 88175 |
|
153 |
153 |
$3K |
| 87807 |
|
1,081 |
1,053 |
$3K |
| 76775 |
|
63 |
63 |
$3K |
| 76536 |
|
52 |
52 |
$2K |
| 82950 |
|
1,084 |
1,081 |
$2K |
| 80306 |
|
1,414 |
1,315 |
$2K |
| 82947 |
|
1,177 |
1,163 |
$2K |
| 80076 |
|
4,173 |
3,945 |
$2K |
| 87088 |
|
843 |
814 |
$2K |
| 73100 |
|
45 |
32 |
$2K |
| 97163 |
|
39 |
39 |
$2K |
| 87070 |
|
812 |
789 |
$2K |
| 85652 |
|
2,718 |
2,517 |
$2K |
| 97116 |
|
209 |
95 |
$2K |
| 83690 |
|
6,482 |
5,908 |
$1K |
| C9803 |
Hopd covid-19 spec collect |
686 |
669 |
$1K |
| 72100 |
|
36 |
36 |
$1K |
| 87507 |
|
15 |
15 |
$1K |
| 72141 |
|
12 |
12 |
$1K |
| 86901 |
|
4,182 |
3,971 |
$1K |
| 73560 |
|
41 |
39 |
$1K |
| 73080 |
|
86 |
82 |
$1K |
| 82248 |
|
655 |
593 |
$1K |
| 87210 |
|
725 |
705 |
$1K |
| 86038 |
|
225 |
220 |
$1K |
| G0279 |
Tomosynthesis, mammo |
86 |
86 |
$889.56 |
| 87205 |
|
815 |
787 |
$872.52 |
| 73140 |
|
29 |
25 |
$766.22 |
| 72070 |
|
25 |
25 |
$756.53 |
| 82077 |
|
1,988 |
1,751 |
$715.56 |
| 85730 |
|
5,332 |
4,999 |
$712.16 |
| 97035 |
|
122 |
56 |
$670.96 |
| 82565 |
|
426 |
376 |
$667.30 |
| 82150 |
|
1,154 |
1,087 |
$603.85 |
| G0108 |
Diab manage trn per indiv |
13 |
13 |
$588.48 |
| 82962 |
|
2,119 |
1,630 |
$540.98 |
| 94640 |
|
2,011 |
1,690 |
$530.54 |
| 77065 |
Tomosynthesis, mammo |
12 |
12 |
$528.72 |
| 93225 |
|
12 |
12 |
$483.72 |
| 87631 |
|
18 |
17 |
$436.81 |
| 87634 |
|
47 |
47 |
$417.00 |
| 97165 |
|
15 |
15 |
$406.71 |
| 84153 |
|
47 |
47 |
$404.44 |
| 73090 |
|
43 |
37 |
$393.62 |
| 84100 |
|
633 |
583 |
$308.44 |
| 84403 |
|
29 |
27 |
$281.85 |
| 80074 |
|
13 |
13 |
$239.44 |
| 73590 |
|
39 |
37 |
$238.20 |
| 85379 |
|
1,692 |
1,636 |
$230.18 |
| 83970 |
|
12 |
12 |
$177.85 |
| 84481 |
|
26 |
25 |
$175.00 |
| 87040 |
|
1,693 |
1,456 |
$148.36 |
| 83605 |
|
4,455 |
3,957 |
$144.41 |
| 83001 |
|
24 |
24 |
$143.47 |
| 82105 |
|
37 |
37 |
$122.13 |
| 84550 |
|
101 |
92 |
$106.18 |
| 71101 |
|
14 |
14 |
$101.71 |
| 12001 |
|
39 |
39 |
$100.76 |
| 84484 |
|
5,734 |
4,124 |
$94.27 |
| 86431 |
|
41 |
41 |
$90.89 |
| 84460 |
|
42 |
40 |
$88.24 |
| 86376 |
|
13 |
13 |
$82.00 |
| 86704 |
|
13 |
12 |
$71.49 |
| 84703 |
|
366 |
356 |
$66.83 |
| 86039 |
|
12 |
12 |
$66.40 |
| 88304 |
|
42 |
41 |
$59.22 |
| 84156 |
|
48 |
44 |
$53.71 |
| 80179 |
|
1,199 |
1,105 |
$51.31 |
| 80143 |
|
1,231 |
1,126 |
$51.31 |
| 86308 |
|
26 |
26 |
$46.34 |
| 83615 |
|
43 |
36 |
$43.23 |
| 90715 |
|
303 |
302 |
$32.25 |
| 84450 |
|
13 |
13 |
$29.53 |
| 82550 |
|
25 |
24 |
$29.38 |
| J7030 |
Normal saline solution infus |
10,491 |
8,927 |
$15.90 |
| 85018 |
|
12 |
12 |
$11.04 |
| Q9967 |
Locm 300-399mg/ml iodine,1ml |
4,904 |
4,690 |
$3.34 |
| J0696 |
Ceftriaxone sodium injection |
1,601 |
1,432 |
$0.00 |
| J3010 |
Fentanyl citrate injection |
3,240 |
3,076 |
$0.00 |
| J2250 |
Inj midazolam hydrochloride |
1,887 |
1,805 |
$0.00 |
| 82803 |
|
92 |
82 |
$0.00 |
| J0690 |
Cefazolin sodium injection |
1,659 |
1,490 |
$0.00 |
| J2704 |
Inj, propofol, 10 mg |
3,870 |
3,774 |
$0.00 |
| J1100 |
Dexamethasone sodium phos |
4,054 |
3,780 |
$0.00 |
| J7512 |
Prednisone ir or dr oral 1mg |
87 |
84 |
$0.00 |
| J7050 |
Normal saline solution infus |
1,151 |
649 |
$0.00 |
| J1170 |
Hydromorphone injection |
2,434 |
1,985 |
$0.00 |
| J2060 |
Lorazepam injection |
1,232 |
1,041 |
$0.00 |
| 94760 |
|
1,578 |
1,337 |
$0.00 |
| J3490 |
Drugs unclassified injection |
257 |
253 |
$0.00 |
| J2765 |
Metoclopramide hcl injection |
986 |
889 |
$0.00 |
| J1885 |
Ketorolac tromethamine inj |
7,096 |
6,509 |
$0.00 |
| A9500 |
Tc99m sestamibi |
63 |
63 |
$0.00 |
| J2001 |
Lidocaine injection |
264 |
257 |
$0.00 |
| J0330 |
Succinycholine chloride inj |
227 |
223 |
$0.00 |
| J2003 |
Inj, lidocaine hcl, 1 mg |
50 |
49 |
$0.00 |
| A9270 |
Non-covered item or service |
57 |
40 |
$0.00 |
| J0131 |
Inj, acetaminophen (nos) |
115 |
112 |
$0.00 |
| A9585 |
Gadobutrol injection |
158 |
155 |
$0.00 |
| 96368 |
|
27 |
26 |
$0.00 |
| 94761 |
|
120 |
94 |
$0.00 |
| J2360 |
Orphenadrine injection |
29 |
29 |
$0.00 |
| J1630 |
Haloperidol injection |
28 |
24 |
$0.00 |
| J0780 |
Prochlorperazine injection |
404 |
366 |
$0.00 |
| J1200 |
Diphenhydramine hcl injectio |
2,408 |
2,126 |
$0.00 |
| J2405 |
Ondansetron hcl injection |
9,332 |
8,116 |
$0.00 |
| G1004 |
Cdsm ndsc |
1,545 |
1,486 |
$0.00 |
| J2270 |
Morphine sulfate injection |
3,390 |
2,947 |
$0.00 |
| J2930 |
Methylprednisolone injection |
780 |
706 |
$0.00 |
| J2550 |
Promethazine hcl injection |
14 |
12 |
$0.00 |
| 94664 |
|
433 |
420 |
$0.00 |
| 94729 |
|
128 |
126 |
$0.00 |
| A9575 |
Inj gadoterate meglumi 0.1ml |
433 |
429 |
$0.00 |
| 80305 |
|
15 |
15 |
$0.00 |
| J7120 |
Ringers lactate infusion |
261 |
230 |
$0.00 |
| C9113 |
Inj pantoprazole sodium, via |
72 |
54 |
$0.00 |
| J1644 |
Inj heparin sodium per 1000u |
159 |
123 |
$0.00 |
| J2710 |
Neostigmine methylslfte inj |
158 |
111 |
$0.00 |
| J3475 |
Inj magnesium sulfate |
71 |
65 |
$0.00 |
| 93226 |
|
12 |
12 |
$0.00 |
| 94150 |
|
22 |
13 |
$0.00 |
| J2919 |
Inj, methylpred sod succ 5mg |
19 |
17 |
$0.00 |
| J0665 |
Inj, bupivacaine, nos, 0.5mg |
27 |
27 |
$0.00 |
| J0171 |
Adrenalin epinephrine inject |
13 |
12 |
$0.00 |
| 82375 |
|
14 |
12 |
$0.00 |